Provider Demographics
NPI:1639378896
Name:PANITZ, FRED (MD, JD)
Entity Type:Individual
Prefix:DR
First Name:FRED
Middle Name:
Last Name:PANITZ
Suffix:
Gender:M
Credentials:MD, JD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:360 BRUSH HILL RD
Mailing Address - Street 2:
Mailing Address - City:SHEFFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01257-0936
Mailing Address - Country:US
Mailing Address - Phone:413-229-3390
Mailing Address - Fax:413-229-3391
Practice Address - Street 1:360 BRUSH HILL ROAD
Practice Address - Street 2:
Practice Address - City:SHEFFIELD
Practice Address - State:MA
Practice Address - Zip Code:01257-0936
Practice Address - Country:US
Practice Address - Phone:413-229-3390
Practice Address - Fax:413-229-3391
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA222968207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine